Individual provider Active NPI

Elizabeth Betti Hamilton, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1659334712
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1718-C Issued in AR
Practice address
1708 Louisiana St
Little Rock, AR 72206-1432
Phone
(501) 690-6738
Fax
(501) 372-3339
NPI assigned
Apr 10, 2006
Last updated
Mar 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1718-C AR Primary

Addresses

Primary practice location

1708 Louisiana St
Little Rock, AR 72206-1432

Mailing address

1708 Louisiana St
Little Rock, AR 72206-1432
Phone (501) 690-6738

Other identifiers 1

IdentifierTypeStateIssuer
117612001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1718-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Psychiatric Clinic, Professional Association Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1659334712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 LOUISIANA ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061432",
            "telephone_number": "501-690-6738",
            "fax_number": "501-372-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 LOUISIANA ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061432",
            "telephone_number": "501-690-6738",
            "fax_number": "501-372-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ELIZABETH BETTI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1718-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117612001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.